Welsh Wayne N, McGrain Patrick N
Department of Criminal Justice, 5th Floor, Gladfelter Hall (025-02), 11th St. and Berks Mall, Temple University, Philadelphia, PA 19122, United States.
Drug Alcohol Depend. 2008 Aug 1;96(3):271-80. doi: 10.1016/j.drugalcdep.2008.03.019. Epub 2008 May 19.
Few studies to date have examined predictors of therapeutic engagement (TE) or other indicators of responsiveness to prison drug treatment. Subjects were 347 inmates participating in a 12-month modified therapeutic community (TC) drug treatment program at a specialized treatment prison for convicted, drug-involved offenders. Data were obtained through correctional databases and the administration of the TCU Drug Screen II, the Resident Evaluation of Self and Treatment (REST), and the Counselor Rating of Client (CRC) form. Three main hypotheses were supported: (1) baseline motivation predicted therapeutic engagement net of other inmate characteristics; (2) critical dimensions of the treatment experience (e.g., peer support, counselor rapport) also predicted therapeutic engagement; and (3) dynamic predictors and programmatic characteristics became more important over time. Implications for research, theory and policy are discussed.
迄今为止，很少有研究探讨治疗参与度（TE）的预测因素或对监狱药物治疗反应的其他指标。研究对象为347名囚犯，他们在一所专门关押被定罪的涉毒罪犯的治疗监狱中参加了为期12个月的改良治疗社区（TC）药物治疗项目。数据通过惩教数据库以及TCU药物筛查II、居民自我与治疗评估（REST）和咨询师对客户的评分（CRC）表收集获得。三个主要假设得到了支持：（1）在排除其他囚犯特征的情况下，基线动机可预测治疗参与度；（2）治疗体验的关键维度（如同伴支持、与咨询师的融洽关系）也可预测治疗参与度；（3）随着时间的推移，动态预测因素和项目特征变得更加重要。文中还讨论了该研究对研究、理论和政策的启示。
